| NPI | 1730705674 |
|---|---|
| Former Name | MAURA JENKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: VA 0810008502) |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2025-12-29 |